National Provider Identifier [NPI]: |
1295717387 |
Last Name Of The Provider |
VIVINO |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
237A STATE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTH DARTMOUTH |
Zip Code Of The Provider |
027472612 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
118 |
Number Of Services |
4649 |
Number Of Medicare Beneficiaries |
997 |
Total Submitted Charge Amount |
1115474 |
Total Medicare Allowed Amount |
352902.36 |
Total Medicare Payment Amount |
269332.08 |
Total Medicare Standardized Payment Amount |
268100.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
271 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
35514 |
Total Drug Medicare AllowedAmount |
11602.77 |
Total Drug Medicare PaymentAmount |
9143.63 |
Total Drug Medicare Standardized Payment Amount |
9143.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
112 |
Number Of Medical Services |
4378 |
Number Of Medicare Beneficiaries With Medical Services |
996 |
Total Medical Submitted Charge Amount |
1079960 |
Total Medical Medicare Allowed Amount |
341299.59 |
Total Medical Medicare Payment Amount |
260188.45 |
Total Medical Medicare Standardized Payment Amount |
258956.62 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
322 |
Number Of Beneficiaries Age 75 to 84 |
356 |
Number Of Beneficiaries Age Greater 84 |
216 |
Number Of Female Beneficiaries |
474 |
Number Of Male Beneficiaries |
523 |
Number Of Non Hispanic White Beneficiaries |
878 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
67 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
736 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
261 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6373 |